MEDICARE: MEHRDAD MOGHADDARI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry	DN011636	GA

General Provider Information

NPI Number	:	1588666309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHRDAD MOGHADDARI DDS

Provider Business Mailing Address
First Line	:	2785 GENTRY WALK CT
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-7488
Country	:	US
Telephone Number	:	404-457-3538
Fax Number	:

Provider Business Practice Location Address
First Line	:	56A SHORT ST
Second Line	:
City	:	DAHLONEGA
State	:	GA
Zip	:	30533-0543
Country	:	US
Telephone Number	:	706-867-2727
Fax Number	:	706-867-2739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1508926544 — JOANNE INGRAM LPN
Practice Location Address:

56 SHORT ST # A
DAHLONEGA, GA
30533-0543

Practice Phone: 706-867-2727
Practice Fax: 706-867-2739

1558421685 — MRS. WANDA RAGAN RN
Practice Location Address:

56 SHORT ST # A
DAHLONEGA, GA
30533-0543

Practice Phone: 706-867-2727
Practice Fax: 706-867-2739

1386765766 — ALLISON LESIA PERRY LPN
Practice Location Address:

56 SHORT ST STE A
DAHLONEGA, GA
30533-0543

Practice Phone: 706-867-2727
Practice Fax: 706-867-2739

1831375948 — SANDRA H NAPIER RN
Practice Location Address:

56 SHORT ST # A
DAHLONEGA, GA
30533-0543

Practice Phone: 706-867-2727
Practice Fax: 706-867-2739

1942148044 — WOODYS LONGBRANCH PHARMACY INC
Practice Location Address:

130 LONG BRANCH RD
DAHLONEGA, GA
30533-7132

Practice Phone: 706-867-9493
Practice Fax: 706-867-9495

1649125857 — HYERIN CHUNG
Practice Location Address:

108 MOUNTAIN DR
DAHLONEGA, GA
30533-1615

Practice Phone: 678-541-3404
Practice Fax:

Directions to “ MEHRDAD MOGHADDARI DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.